We specialize in auto finance. Our multiple finance sources and experience in financing
is unparalleled. With an excellent credit history you can be assured of the best rates in the market.

NO CREDIT – BAD CREDIT??? NO PROBLEM!!!

Bad things happen to good people and we understand that. Our special finance officers
are well-equipped to make sure you drive away in a choice car. Call
(413) 737-7124
or complete the form below and one of our expert finance managers will contact you right away!

*Denotes a required field.

Personal Information

SSN

First Name*

Middle Name

Last Name*

Suffix

Date of Birth*

Gender*

Current Address

Street #*

Street Direction

Street Name*

Street Type*

Apartment #

City*

State*

Country*

Zip*

Length of stay*

Contact Information

Home #*

Work #*

x

Cell #

E-mail

Employment Information

Time at Job*

Gross Income $*

Frequency of Income*

Current Residence

Type of Residence

Own-outrightMortgage

Monthly Payments $

Name of Landlord

Landlord's Phone #

If less than 2 years at previous address

Address 1

Address 2

City

State

Country

Zip

Length of stay

If less than 2 years at previous addresses

Address 1

Address 2

City

State

Country

Zip

Length of stay

Current Employment

Name of Employer

Phone

Address 1

Address 2

City

State

Country

Zip

Type of Work

Additional Income

Source of
Additional Income

Frequency of
Additional Income

Self-employed ?

If less than 2 years with previous employer

Name of Employer

Address 1

Address 2

City

State

Country

Zip

Work Phone #

Time at Previous Job

If less than 2 years with previous employers

Name of Employer

Address 1

Address 2

City

State

Country

Zip

Work Phone #

Time at Previous Job

Driver's License Information

Driver's License/Other ID #

State Issued

Country

Additional Information

Bank Name

Account Type

Have you ever had a car /other merchandise repossessed?

Have you ever filed bankruptcy?

If Yes, When?

Have you previously applied for an auto loan?

If Yes, When?

Have you visited our Online Showroom?

If Yes,Inventory Stock #

Vehicle you are interested in

Year

Make

Model

Color Choice

Exterior 1)

2)

3)

Interior 1)

2)

3)

Desired Monthly Payment $

Do you own a vehicle?

How did you hear about us?

Down Payment

Downpayment available $

Comments

Trade-In Information

Year

Make

Model

Mileage

Color

Bank Financed?

Balance Owed $

Current Payment $

*

"I represent, warrant and affirm that the above information is true and correct
and have been made in order to induce you, the dealer, to grant me credit to acquire
a vehicle by relying on the above knowledge. By submitting this form I authorize
you, the dealer, to verify the correctness of the information by verifying my employment
and residence and also to acquire other reports, including but not limited to credit
bureau reports, to analyze my credit worthiness. I authorize you to retain this
application and any credit agreement as your property."